Glucose Determination

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GLUCOSE

DETERMINATION

KIMBERLY ANN M. PULGA, RMT, MPH


COLLEGE OF MEDICAL LABORATORY SCIENCE
OUR LADY OF FATIMA UNIVERSITY
VALENZUELA CAMPUS
UNIT OUTCOMES

To achieve this unit a learner must:

1. Rationalize the consideration in patient preparation, specimen


collection, transport and processing and handling.
2. Describe the specimen of choice, principle involved, advantages
of the different laboratory methods of glucose determination.
3. Be able to properly perform fasting blood sugar determination.
4. Be able to evaluate FBS results correctly.
PRE-ANALYTICAL PHASE

Method: Quantitative Enzymatic-Colorimetric Determination of


Glucose in Serum or Plasma

Principle:
PRE-ANALYTICAL PHASE

Method: Quantitative Enzymatic-Colorimetric Determination of


Glucose in Serum or Plasma

Principle:
GO
Glucose + O2 + H2O à Gluconic acid + H2O2

PO
2H2O2 + 4-aminoantipyrine + Phenol à Quinone complex
PRE-ANALYTICAL PHASE

Specimen Collection and Preparation:

Remove from the clot within 30 minutes of collection in order to


prevent glycolysis.

Plasma: an anticoagulant containing fluoride is recommended.


ANALYTICAL PHASE

Materials:
Spectrophotometer
Accurate pipetting devices
Heating block or water bath (100 degrees Celsius)
Cuvettes
Vortex mixer
Interval timer
ANALYTICAL PHASE

Reagents:
Glucose liquicolor reagent Non-reactive ingredients & preservatives
4-aminoantipyrine preservatives
Glucose oxidase Glucose standard (100 mg/dL)
Peroxidase Glucose in aqueous benzoic acid
Phenol

Storage and stability: Stable at 2-8 degrees Celsius


Do not freeze
ANALYTICAL PHASE

Manual Procedure:
1. Pipet into tubes the following REAGENT STANDARD (S) SAMPLE (U)
volumes (mL) and mix well: BLANK (RB)

REAGENT 1.5 1.5 1.5


2. Incubate all tubes at 100
degrees Celsius for 3 minutes. STANDARD - 0.050 -

SAMPLE - - 0.050

3. Immerse test tubes in room


temperature water for 2
minutes to cool. Read S and U
vs. RB at 600 nm.
ANALYTICAL PHASE

Glucose Determination

Glucose Determination 2
POST-ANALYTICAL PHASE

Formula for glucose concentration:

C (mg/dL) = __Abs sample___ x value of standard (100mg/dL)


Abs standard

C (mmol/L) = __Abs sample___ x value of standard (100mg/dL) x 0.056


Abs standard
POST-ANALYTICAL PHASE

Normal values (Profame):


Serum/Plasma (fasting): 65-110mg/dL
Spinal fluid: 40-70 mg/dL

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